Individual
EVERETT E KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 NW ENGLEWOOD RD, GLADSTONE, MO 64118-4063
(816) 453-1818
Mailing address
8550 MARSHALL DR, STE. 220, LENEXA, KS 66214-1505
(816) 453-1818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3H55
MO
Other
Enumeration date
07/27/2006
Last updated
01/30/2013
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